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Gender Incongruence of Childhood: Clinical Utility and ... - PLOS › publication › fulltext › Gender-In... › publication › fulltext › Gender-In...by TF Beek · ‎2017 · ‎Cited by 27 · ‎Related articlesJan 12, 2017 — proposed ICD-11 GIC diagnosis: most TG par
Gender Incongruence of Childhood: Clinical Utility and Stakeholder Agreement with the World Health Organization’s Proposed ICD-11 Criteria a1111111111 a1111111111 a1111111111 a1111111111 a1111111111

Titia F. Beek1,2*, Peggy T. Cohen-Kettenis1,2, Walter P. Bouman3, Annelou L. C. de Vries1,4, Thomas D. Steensma1,2, Gemma L. Witcomb5, Jon Arcelus3,6, Christina Richards3, Griet De Cuypere7, Baudewijntje P. C. Kreukels1,2* 1 Center of Expertise on Gender Dysphoria, VU University Medical Center, Amsterdam, The Netherlands, 2 Department of Medical Psychology, VU University Medical Center, Amsterdam, The Netherlands, 3 Nottingham Centre for Gender Dysphoria, Nottingham, United Kingdom, 4 Department of Child and Adolescent Psychiatry, VU University Medical Center, Amsterdam, The Netherlands, 5 School of Sport, Exercise, and Health Sciences, Loughborough University, Loughborough, United Kingdom, 6 Division of Psychiatry and Applied Psychology, Faculty of Medicine & Health Sciences, University of Nottingham, Nottingham, United Kingdom, 7 Center for Sexology and Gender, Ghent University Hospital, Ghent, Belgium * [email protected] (TFB); [email protected] (BPCK)

OPEN ACCESS Citation: Beek TF, Cohen-Kettenis PT, Bouman WP, de Vries ALC, Steensma TD, Witcomb GL, et al. (2017) Gender Incongruence of Childhood: Clinical Utility and Stakeholder Agreement with the World Health Organization’s Proposed ICD-11 Criteria. PLoS ONE 12(1): e0168522. doi:10.1371/ journal.pone.0168522 Editor: Paula Braitstein, University of Toronto Dalla Lana School of Public Health, CANADA Received: March 4, 2016 Accepted: December 4, 2016 Published: January 12, 2017 Copyright: © 2017 Beek et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Data Availability Statement: To the specific sample size (participants were transgender individuals and/or clinicians specialized in transgender health care) and to protect the privacy of the participants, data will not be placed in a public repository. However, data will be available upon request from the data manager of the Centre of Expertise on Gender Dysphoria, Mieke Staphorsius, who can be contacted at: [email protected]. In the dataset that will be provided, any personal information

Abstract The World Health Organization (WHO) is revising the tenth version of the International Classification of Diseases and Related Health Problems (ICD-10). This includes a reconceptualization of the definition and positioning of Gender Incongruence of Childhood (GIC). This study aimed to: 1) collect the views of transgender individuals and professionals regarding the retention of the diagnosis; 2) see if the proposed GIC criteria were acceptable to transgender individuals and health care providers; 3) compare results between two countries with two different healthcare systems to see if these differences influence opinions regarding the GIC diagnosis; and 4) determine whether healthcare providers from high-income countries feel that the proposed criteria are clinically useful and easy to use. A total of 628 participants were included in the study: 284 from the Netherlands (NL; 45.2%), 8 from Flanders (Belgium; 1.3%), and 336 (53.5%) from the United Kingdom (UK). Most participants were transgender people (or their partners/relatives; TG) (n = 522), 89 participants were healthcare providers (HCPs) and 17 were both HCP and TG individuals. Participants completed an online survey developed for this study. Overall, the majority response from transgender participants (42.9%) was that if the diagnosis would be removed from the mental health chapter it should also be removed from the ICD-11 completely, while 33.6% thought it should remain in the ICD-11. Participants were generally satisfied with other aspects of the proposed ICD-11 GIC diagnosis: most TG participants (58.4%) thought the term Gender Identity Disorder should change, and most thought Gender Incongruence was an improvement (63.0%). Furthermore, most participants (76.1%) did not consider GIC to be a psychiatric disorder and placement in a separate chapter dealing with Gender and Sexual Health (the majority response in the NL and selected by 37.5% of the TG participants overall) or as a Z-code (the majority response in the UK and selected by 26.7% of the TG participants

PLOS ONE | DOI:10.1371/journal.pone.0168522 January 12, 2017

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GIC - Clinical Utility and Stakeholder Agreement with the Proposed ICD-11 Criteria

that might compromise the privacy of the participants has been removed. Funding: This work was supported by organizations in the Netherlands - Ministerie Buitenlandse Zaken (Foreign Affairs); Ministerie van Onderwijs, Cultuur en Wetenschap (Education, Culture and Science); Ministerie van Volksgezondheid, Welzijn en Sport (Health, Welfare and Sport). This work was supported in the United Kingdom by Nottinghamshire Healthcare NHS Foundation Trust. The funders had no role in study de